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Jun 25th, 2018
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  1. <form> -- remove this
  2. <h3>Give us a buzz.</h3>
  3.  
  4. <p>
  5. The fastest way to get a hold of us is to give us a call. Our hours are 9 AM to 5 PM, Monday through Friday. But we're dedicated to our customers, so we'll probably call you back if you ring us after hours.
  6. </p>
  7.  
  8. <h3>Leave a message.</h3>
  9.  
  10. <table class="contact-table">
  11.  
  12. <form name="leave-message" action="sendmessage.php" method="POST">
  13.  
  14. <tr>
  15. <td class="contact-details">
  16. Your Name
  17. </td>
  18.  
  19. <td>
  20. <input type="text" name="name" id="name"></input>
  21. </td>
  22. </tr>
  23.  
  24. <tr>
  25. <td class="contact-details">
  26. Your Phone Number
  27. </td>
  28.  
  29. <td>
  30. <input type="text" name="phone" id="phone"></input>
  31. </td>
  32. </tr>
  33.  
  34. <tr>
  35. <td class="contact-details">
  36. Your E-mail Address
  37. </td>
  38.  
  39. <td>
  40. <input type="text" name="email" id="email"></input>
  41. </td>
  42. </tr>
  43.  
  44. <tr>
  45. <td class="contact-details">
  46. Your Message
  47. </td>
  48.  
  49. <td>
  50. <textarea class="message" name="message" id="message"></textarea>
  51. </td>
  52. </tr>
  53.  
  54. <tr>
  55. <td class="contact-details">
  56. </td>
  57.  
  58. <td>
  59. <input type="submit" class="submit-button" value="Make Contact"></input>
  60. </form> -- move this
  61. </td>
  62. </tr>
  63. -- to here
  64.  
  65. </table>
  66.  
  67.  
  68. <h3>Schedule an Appointment.</h3>
  69.  
  70. <table class="contact-table">
  71. <form action="mailto:info@dzapt.com" method="POST" enctype="multipart/form-data">
  72.  
  73. <tr>
  74. <td class="contact-details">
  75. Your Name
  76. </td>
  77.  
  78. <td>
  79. <input type="text" name="name"></input>
  80. </td>
  81. </tr>
  82.  
  83. <tr>
  84. <td class="contact-details">
  85. Your Business Name
  86. </td>
  87.  
  88. <td>
  89. <input type="text" name="business-name"></input>
  90. </td>
  91.  
  92. <tr>
  93. <td class="contact-details">
  94. Your Phone Number
  95. </td>
  96.  
  97. <td>
  98. <input type="text" name="phone-number"></input>
  99. </td>
  100. </tr>
  101.  
  102. <tr>
  103. <td class="contact-details">
  104. Your E-mail Address
  105. </td>
  106.  
  107. <td>
  108. <input type="text" name="email-address"></input>
  109. </td>
  110. </tr>
  111.  
  112. <tr>
  113. <td class="contact-details">
  114. Desired Date
  115. </td>
  116.  
  117. <td>
  118. <select name="month">
  119. <option value="">Month</option>
  120. <option value="1">January</option>
  121. <option value="2">February</option>
  122. <option value="3">March</option>
  123. <option value="4">April</option>
  124. <option value="5">May</option>
  125. <option value="6">June</option>
  126. <option value="7">July</option>
  127. <option value="8">August</option>
  128. <option value="9">September</option>
  129. <option value="10">October</option>
  130. <option value="11">November</option>
  131. <option value="12">December</option>
  132. </select>
  133.  
  134. <select name="day">
  135. <option value="">Day</option>
  136. <option value="1">1</option>
  137. <option value="2">2</option>
  138. <option value="3">3</option>
  139. <option value="4">4</option>
  140. <option value="5">5</option>
  141. <option value="6">6</option>
  142. <option value="7">7</option>
  143. <option value="8">8</option>
  144. <option value="9">9</option>
  145. <option value="10">10</option>
  146. <option value="11">11</option>
  147. <option value="12">12</option>
  148. <option value="13">13</option>
  149. <option value="14">14</option>
  150. <option value="15">15</option>
  151. <option value="16">16</option>
  152. <option value="17">17</option>
  153. <option value="18">18</option>
  154. <option value="19">19</option>
  155. <option value="20">20</option>
  156. <option value="21">21</option>
  157. <option value="22">22</option>
  158. <option value="23">23</option>
  159. <option value="24">24</option>
  160. <option value="25">25</option>
  161. <option value="26">26</option>
  162. <option value="27">27</option>
  163. <option value="28">28</option>
  164. <option value="29">29</option>
  165. <option value="30">30</option>
  166. <option value="31">31</option>
  167. </select>
  168. </td>
  169. </tr>
  170.  
  171. <tr>
  172. <td class="contact-details">
  173. Your Message
  174. </td>
  175.  
  176. <td>
  177. <textarea class="message" name="message"></textarea>
  178. </td>
  179. </tr>
  180.  
  181. <tr>
  182. <td class="contact-details">
  183. </td>
  184.  
  185. <td>
  186. <input type="submit" class="submit-button" value="Make Contact"></input>
  187. </td>
  188. </tr>
  189.  
  190. </form>
  191. </table>
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